Camp Staff Camp Staff Registration Form UW-Oshkosh Cross Country Camp - July 17-21 Go to www.uwoshkoshsportscamps.com to register or fill out the form below. Coach Eamon McKenna is serving his third year as Head Men’s Cross Country and Track & Field Coach at UW-Oshkosh. In his time at UWO, he has coached an All-American athlete in cross country and in the 800m, 1500m, steeplechase, 5000m and 10000m on the track, as well as athletes on DMR and 4x400m relay All-American teams. McKenna has 11 years of experience coaching high school and college cross country and track & field studentathletes. As a former Titan athlete, McKenna was a four-time All-American and captain of the 2002 NCAA Championship cross country team. This will be his seventh year working the Green Lake Camp and his fourth as director. Coach Jason Fast will serve as Green Lake Camp counselor for the fourth time this summer. Coach Fast is currently the Head Men’s and Women’s Cross Country and Track & Field Coach at Lawrence University in Appleton, Wisconsin. Coach Fast has produced numerous All-Conference and Conference Champion performers in his 5 years as Head Coach, and his Men’s team won the Conference Championship in Cross Country in 2011. As a Titan student-athlete, Fast was a member of the NCAA Champion 2002 Cross Country Team, and was a multiple-time All-Conference performer. COMPLETE THE FORM BELOW TO REGISTER – PLEASE PRINT CLEARLY Name______________________________________________ Last First MI Address____________________________________________ City_______________________ State______ ZIP___________ Age_______Gender_____________ Grade in Fall 2016_______ School Attending in Fall 2016____________________________ Coach/Director of Team/Program_________________________ Roommate Preference_________________________________ Parent/Guardian______________________________________ Work Phone (____)__________ Cell Phone (____)___________ Email_______________________________________________ Emergency Contact___________________________________ Coach McKenzie Kelly will serve as Green Lake Camp counselor for the first time this summer. She has experience coaching at the college and high school level as an assistant. As a Titan student athlete, Kelly earned 3 AllAmerican awards, she was a member of the NCAA Champion and National Record breaking Distance Medley Relay Team, and she is top 15 All-Time in the women’s 1500m run. As a high school assistant, she helped guide her boys team to the WIAA State Cross Country Meet in 2014. McKenzie brings another level of competitive experience to our camp. Coach Jordan Carpenter will serve as a Green Lake Camp counselor for the third time this summer. Jordan has competed and served as a volunteer assistant at UW Oshkosh. Jordan earned All-American honors with a 13th place Nationals finish in 2015 and competed at the NCAA Cross Country Championships all four years of his career. He has been an AllConference performer 4 times on the track, and he earned an All-American award in the Steeplechase in 2014. Jordan carries a 4.0 GPA and is an NCAA Elite 89 Award and NCAA Elite 90 Award winner for having the highest GPA at the National Meet. Work Phone (____)__________ Cell Phone (____)___________ T-Shirt Size (adult, circle one) XL L M S Complete One: Enclosed is $__________as full payment Enclosed is $__________as deposit Credit Card (circle one) Visa (Balance is due by June 27, 2016) MasterCard American Express Credit Card Number___________________________________ Exp. Date____________________ ID Code ________________ Cardholder Name (printed)______________________________ Cardholder Signature__________________________________ Insurance Company___________________________________ Insurance Company Address____________________________ Coach Brittany Haas returns to Green Lake Camp as a counselor for the sixth year. She currently serves as an Assistant Coach for Boys’ and Girls’ Cross Country and Track & Field at Oshkosh North High School. She has helped coach multiple all-conference performers and state qualifiers. As a runner at UW Oshkosh, Haas competed at multiple NCAA Championships. Brittany adds a level of communication and care to our camp. Haas is passionate about coaching, and she is a dedicated leader. Policy Holder________________________________________ Policy Number_______________________________________ I verify that my son/daughter has been checked by a licensed physician and is physically able to participate in this Sports Camp/Clinic. I agree to allow my son/daughter to be treated by a licensed physician while attending, if necessary, and to assume all costs related to such treatment. I authorize my insurance company to pay benefits. Also, I authorize the disclosure of medical information to my insurance company for the purpose of a claim. I understand that if this application is accepted, there is no refund of the deposit if we (parent or son/daughter) should cancel the application later. The undersigned does hereby agree to hold harmless and indemnify the State of Wisconsin, the Board of Regents of the University of Wisconsin System, and the University of Wisconsin Oshkosh, their officers, agents and employees, from any and all liability, loss, damages, costs, or expenses which are sustained, incurred, or required arising out of the actions of my son/daughter in the course of the camp/clinic. Parent/Guardian Signature ____________________________ About the Camp It would be hard to find a more fitting setting for cross country runners. Come train among 1000+ acres of forest and meadows of the Green Lake Conference Center located two miles west of Green Lake on Hwy 23 and on the north shore of Green Lake. This camp is a co-ed distance training camp for high school cross country runners. A secret to success in competition is to be better prepared than your opponent. This camp emphasizes learning both theory and application of successful cross country running. Workouts will be appropriate for each athlete’s experience and condition. This is a camp where each athlete can combine learning and training while experiencing the joys of running. The cross country camp offers a limited enrollment with an athlete-to-counselor ratio of 9 to 1. This unique grouping fosters a “team” atmosphere. Through staff members sharing their extensive running knowledge, you will gain experience in training methods, exercise physiology, psychology of training and racing, racing tactics, mechanics or running, nutrition, cross training, injury prevention, and rehabilitation. Recreational activities include swimming, volleyball, tennis and softball. Canoes, bikes and sailboats can also be rented. Campers are also encouraged to bring their own bikes and games to play. Campers will arrive by 3:30 PM on Sunday, July 17. Meals are served buffet style. Campers are welcome to bring their own snacks. The camp concludes on Thursday at noon. Daily Camp Schedule 6:30 AM 6:45 AM 7:30-8:30 AM 9:15-10:45 AM 10:45-11:45 AM 12:00-1:00 PM 1:00-3:00 PM 3:15-4:45 PM 5:15-6:15 PM 6:30-8:00 PM 10:00 PM 10:30 PM Wake Up Morning Run Breakfast Instruction Session Tournament Games (Volleyball, Dodgeball, Ultimate Frisbee) Lunch Open Recreation and Tournament Games (Volleyball, Dodgeball, Ultimate Frisbee) Workout Dinner Instruction Session Quiet Hour Lights Out * Schedule could change depending on weather Dates and Fees Camp Dates: July 17-21, 2016 Fees: $390 on or before June 27, 2016 $425 after June 27, 2016 Fees include lodging, meals, tuition, camp t-shirt and full use of Green Lake Conference Center’s facilities. Fees also include the cost of prizes, awards and miscellaneous social events. A deposit of $50 should accompany the registration form. Go to www.uwoshkoshsportscamps.com to register OR send the registration form, with a minimum deposit of $50 to: UW-Oshkosh Sports Camps Kolf Sports Center 800 Algoma Boulevard Oshkosh, WI 54901 Please make checks payable to UW-Oshkosh Sports Camps and identify camper’s name on check. Balance is due by June 27, 2016. Cancellation Policy: Your fee, less a $50 nonrefundable deposit, will be refunded without question if you cancel your enrollment two weeks prior to the first day of camp. Any time after this point, refunds will be made for medical reasons only. Requests for refunds must be in writing and accompanied by a signed excuse from a physician. Campers who must leave during the week due to illness or injury will receive a prorated refund based on the number of sessions attended. Requests for refunds must be made within three months of the conclusion of the camp. CHARLEND HOWARD ERICA MUNYAN CROSS JULY 17 - 21, 2016 COUNTRY UWOSHKOSHSPORTSCAMPS.COM KOLF ATHLETICS CENTER CAMP
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